364807252-3-3-2022-09-CC-DBRL-CC72AP-20220303161353

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 364807252
Report Date: 03/03/2022
Date Signed: 03/03/2022 04:14:02 PM

Document Has Been Signed on 03/03/2022 04:14 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME:	SANTIAGO FAMILY CHILD CARE		FACILITY NUMBER:	364807252
ADMINISTRATOR:	SANTIAGO, BLANCA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(909) 357-1033
CITY:	FONTANA	STATE: CA	ZIP CODE:	92337
CAPACITY:	14	CENSUS: 11	DATE:	03/03/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Blanca Santiago		TIME COMPLETED:	04:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On date and time listed, Licensing Program Analyst (LPA) Diana Brasel arrived at the facility to conduct an annual inspection. Upon arrival LPA was granted access to the facility. The licensee has qualified assistants. LPA toured the facility, inside and out, records were reviewed, and the following was observed and/or discussed: Normal days and hours of operation are: Monday - Friday 5:30 am to 6:00 pm OFF-LIMIT AREAS INCLUDE: Entire upstairs and garage. · The facility is operating within the licensed capacity and appropriate ratios · The Licensee is present in the home and has ensured that children in care are supervised at this time. · When temporarily absent from the home, the Licensee shall arrange for a substitute adult to care for and supervise children. · A working telephone is present · Appropriate fire extinguisher, smoke detector and carbon monoxide detector is present and were tested by the applicant during this inspection. · All hazardous items are inaccessible, this includes: detergents, cleaning compounds, medications and other items which could pose a danger to children. · Storage of poisons is inaccessible to children and locked. · There is a properly barricaded fire place · No guns or weapons present as stated by the Licensee. · Home is clean and orderly, with heating and ventilation for safety and comfort · Outdoor play areas are fenced or appropriate supervision is present · Verification of control of property on file

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana Brasel	TELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SANTIAGO FAMILY CHILD CARE	FACILITY NUMBER: 364807252
	VISIT DATE: 03/03/2022

NARRATIVE

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·· Property owner/landlord notification and consent on file
· ·Facility Sketch, Emergency Disaster Plan & Notification of Parent’s Rights poster are posted
· ·Pediatric CPR and First Aid Card expire 09/14/2022 for licensee and Asst. 10/2022
· ·Health & Safety Certificate - completed on file
· Located in the backyard is an in ground pool and spa that is fenced per Title 22 regulations with a
5 ft removable mesh fence. The gate opens outward, is self closing and self latching . LPA checked gate at time of visit.
· ·Clean, safe and age appropriate toys
· ·Documentation of fire drills on file, last drill conducted on 05/28/2021. See LIC 809D
· ·Each child’s file contains a copy of the emergency information card with required information
· ·The Department was granted inspection authority as required by the Health and Safety Code
· Facility is not currently providing IMS at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514- 0383 (TTY) and link to publication : Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
· LPA discussed the safe sleep regulations with licensee Blanca Santiago and discussed the Child Care Licensing Safe Sleep form, LIC 9227 a blank form was provided. See below web-page at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee Blanca Santiago of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.
·- Access to forms & Regulations for Family Child Care online at www.ccld.ca.gov
· - Responsibility to know the regulations for anyone providing care
· - Inaccessibility of hazards must be constantly reassessed depending on the children in care
· - Current facility’s phone numbers must be on file at all times.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana Brasel	TELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/03/2022 04:14 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SANTIAGO FAMILY CHILD CARE	FACILITY NUMBER: 364807252
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/03/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(9)(A)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (9) Each family child care home shall have a written disaster plan of action prepared on a form approved by the Department. All children, age and ability permitting, and the provider, the assistant provider, and other members of the household, shall be instructed in their duties under the disaster plan. As their age and ability permit, newly enrolled children shall be informed promptly of their duties as required in the plan. (A) Each family child care home shall conduct fire drills and disaster drills at least once every six months. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	The licensee could not provide proof of a current Fire Drill log. Last drill conducted on 05/28/2021. Based on LPAs observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/10/2022
	Plan of Correction
1 2 3 4	The licensee has agreed to conduct a Fire and Disaster drill and provide written documentation of the drill, no later then 03/10/2022.

Section Cited


	Deficient Practice Statement
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	POC Due Date:
	Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana Brasel	TELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501

FACILITY NAME: SANTIAGO FAMILY CHILD CARE	FACILITY NUMBER: 364807252
	VISIT DATE: 03/03/2022

NARRATIVE

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· Failure to meet the posting requirements shall result in an immediate $100 civil penalty.
· - Documentation of fire & earthquake drills are to be conducted every six months
· - Responsibilities of being a mandated reporter
· - Baby walkers, bouncy seats, exersaucers and other similar items are prohibited
· - The licensee is urged to visit the U.S. Consumer Product Safety Commission webpage at www.cpsc.gov to ensure that equipment purchased for the day care has not been recalled.
· - Once licensed, the Notice of Site Visit must be posted at the entrance of the facility for a period of 30 days. If a serious violation is cited, a copy of the licensing report (LIC809/LIC9099) must also be posted for 30 days. A civil penalty of $100 per violation will be assessed for noncompliance.
· - Access to forms & Regulations for Family Child Care Homes online at www.ccld.ca.gov.
· - Please subscribe at www.childcareadvocatesprogram@dss.ca.com to receive Department updates. They will be sent directly to your e-mail account once you have set up an account. This website can also be accessed through www.ccld.ca.gov
· - The Duty Officer is available to answer questions Monday – Friday at 1-844-LET-US-NO (1-844-538-8766).
· Licensee Blanca Santiago was reminded that all adults 18 and over living or working in the home, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
· To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at: www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
Exit interview conducted, report, and appeal rights were reviewed with the licensee. The report must be available to the public upon request for the next 3 years. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
Mandated Reporter Training Certificate shall be updated for Child Care Provider and proof of completion for the General shall be submitted by 03/10/2022.

SUPERVISOR'S NAME: Gilbert Sena	TELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana Brasel	TELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:	DATE: 03/03/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/03/2022

LIC809 (FAS) - (06/04)

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